"Multiple segments were torn off and replanted!" someone screamed in the orthopedic conference room of the Sixth Hospital of Shanghai.
The live broadcast that was originally planned to be closed was left on again.
"Teacher, is it time to eat?" The student came over and reminded in his ear.
Oh, yes, it was already past lunch time. I spent the whole morning watching this live broadcast and forgot to eat.
Hong Zhigang raised his hand and looked at his watch. It was already past two o'clock.
"Didn't you order a box lunch?" Hong Zhigang remembered.
What the students mean is - can lunch boxes be distributed now?
Hong Zhigang nodded: "Let's go, eat and watch at the same time, everyone's interest is very high."
Hong Zhigang was also very interested.
Several graduate students carried several baskets of lunch boxes and handed them out one by one. The set meal included three dishes and one soup, beef, fried eggs, tofu skin, extra seasonal vegetables, a rib soup, a bottle of mineral water, and a paper towel.
Some people have lunch boxes placed in front of them but have not opened them; some people are staring at the screen and mechanically moving chopsticks to their mouths, not knowing whether they have been put in. Anyway, after eating this meal, I don’t know what it tastes like.
"What do you think?" Hong Zhigang turned around.
Wen Rentao did not answer, but just asked: "Is this Master Han's masterpiece?"
He immediately realized that he had said the wrong thing, but it was irreversible. Han Jiangong was a taboo for Hong Zhigang to chat with.
Among his students, no one dared to mention this name in front of him.
But Hong Zhigang was not angry. He sighed and said, "Besides him, who else could there be?"
"Teacher, you have won the Golden Knife Award!"
Hong Zhigang stopped talking.
---
"I've ordered takeout, and I'm going to fight to the death today."
"This lunatic is overconfident."
"It's really powerful, but it's a bit bloated."
“I hope the organizers will pay attention to the survival and function of amputated limbs in the future.”
"Can it be defined as showing off skills?"
"Mo Liu's bubble is coming."
"Of course, I will pay attention to it in the future."
---
"Xiao Yang, can you still hold on? Otherwise, I'll wash my hands and go on stage, and you can take a break." Old Han felt distressed, but it was very critical to have reached this point.
In this case, the risk of multiple-stage avulsion and replantation is extremely high. This can be abandoned, and no one will have any objection to the surgical plan.
"It's okay, it's okay. Let's rest after we're done. It won't be an hour later." Yang Ping said lightly.
Old Han glanced at him, boy, you are so domineering!
Song Zimo was opposite him and said softly: "That's enough. Just stop when you're ready. It's completely in line with medical principles for us to end like this. Just in case--"
Although he really wanted to challenge Yang Ping to perform multi-stage tearing off and replantation, this was something that would break the taboo.
At this time, it is better to follow the routine process and challenge the contraindications. Once the patient has an accident, it is easy to teach others what to do.
"What about you? Tianyuan, would you like to express your opinion?" Lao Han urged. This was considered a simple discussion on a small scale.
Tian Yuan also kept looking at the screen and said: "It's not suitable. It can be rebuilt in the second phase, but depending on Xiao Yang's condition, it can be improved."
Old Han was a little embarrassed. He tapped his fingers again and said for a moment: "The operation continues, multi-segment tearing, separation and replantation. Tianyuan Fangyan came to the stage to help remove arteries and veins for transplantation."
In the countryside, Fang Yan began to take off his surgical gown, wash his hands again, disinfect his left foot and spread the sheets. He was familiar with the road and quickly completed the preparations.
Tianyuan and Fang Yan began to search for arteries and veins suitable for the thumb on the instep of the left foot and in front of the ankle, carefully removed them, and left them as a bridge for Yang Ping to replant.
Yang Ping and Song Zimo opened the "snuff pit" on their hands, preparing to search for the branches and nerves of the radial artery, and anastomose the bridging blood vessels from here.
As for the thumb that was broken into three sections, it was very difficult to find blood vessels because the blood vessels were pulled out and avulsed, and many of them were damaged.
It is almost impossible to find suitable blood vessels, but Yang Ping still patiently searches for those that can be bridged with suitable blood vessels. If there are no suitable blood vessels, he plans to anastomose those tiny blood vessels that are still healthy, just like replanting a baby's severed finger.
In this way, if a dozen, or even dozens, of them can be successfully anastomosed, they can also play a role in blood supply.
The function of the thumb is extremely important, accounting for 40% of the entire finger function. Without the thumb, the hand function is basically lost.
So it is not difficult to replant the thumb, but this kind of multi-segment tearing and separation is very difficult. Even if you are lucky enough to have good conditions, it will take more than ten hours.
Similar to, it is not difficult for a motorcycle stuntman to do a somersault, but it is quite difficult to do it on a tightrope.
Hong Zhigang stared at the screen, vaguely feeling that this was his junior brother's challenge to him?
If we say that the perimenial suturing just now can be done with hand speed without affecting the operation time.
If multi-segment avulsion and replantation fail, this operation, which is already at its peak, will be criticized, which will cause huge damage to a doctor's reputation.
In this kind of replantation, the blood supplying blood vessels of the thumb have to flow through countless fractures, and even if one stitch is not sutured properly, it may lead to failure.
The audience waited with bated breath.
----
"Or did you do it?"
"Yes, I did it!"
"If it's really successful, it could be included in textbooks."
"Nothing to say."
"I support surgeons. Surgeons must be bold and careful, and constantly challenge difficulties. If everyone follows suit and stick to the rules, how can surgery progress? Thank you!"
"pay tribute!"
"The most exciting academic conference I have ever attended, I will remember it for a lifetime."
---
The operation process went without any suspense. With the cooperation of two groups of people, the battle was resolved within an hour.
"vital signs?"
"normal."
"Urine output is normal."
"Check the gauze and instruments"
"Rinse, drain, suture!"
Double-click electrocoagulation was performed under the microscope to stop bleeding for the last time, a drainage piece was inserted, and then the skin was sutured. Pieces of gauze were spread loosely, and sterile bandages were loosely fixed.
The prepared upper limb brace was handed over, and the affected limb was carefully fixed in the brace.
The blood flow of five fingers is great!
"Skill completed!"
"Start anesthesia and wake up!"
"Restored spontaneous breathing and successfully extubated!"
"Send to trauma ICU for monitoring!"
The entire operation lasted 8 hours and 11 minutes.
--
"It's over?"
"It's over!"
"Will there be a live broadcast like this in the next session?"
"Salute! Hand of God!"
"Hospital, hospital name?"
"Damn it! Why is the Coke still here? What did I drink just now--"
